33Radioactive and NuclearWeapons of Mass Destruction 34Penetration Abilities of Different Types of RadiationAlpha Particles Stopped by a sheet of paperRadiation SourceBeta Particles Stopped by a layer of clothing or less than an inch of a substance (e.g. plastic)Gamma Rays Stopped by inches to feet of concrete or less than an inch of lead 35Methods of protection

Discard gloves in biohazard bags after patient care is completed or when soiled or damaged

Wash hands immediately after removal of gloves

49Patient Respiratory Protection

Patient may wear a paper surgical mask to reduce droplet production, if tolerated

NRB masks offer some protection in reducing droplet spread

CPR should never be performed using mouth-to-mouth or mouth-to-mask

50The N95 Respirator 51Why a Respirator Is Necessary

You work in an environment where there is a high risk of disease transmission through infectious airborne infectious particulates

Respirators, such as the N-95, provide protection from airborne infectious particulates when properly fitted and worn

52The Strategic National Stockpile (SNS)Mission To meet the nations pharmaceutical and medial supply needs in the event of a chemical, biological, radiological, nuclear or explosive mass casualty event by delivering adequate medications and medical materiel to the site of a national emergency. 53Strategic National StockpileContents

Oral Antibiotics

Intravenous Supplies

Nerve Agent Antidotes and Antitoxins

Airway Maintenance Supplies

Medical/surgical items

54Push Package being loaded on to an 18 wheel truckPush Package configured to fit within a commercial aircraft 55The clock is ticking

Governor and Commissioner of Health request the

SNS from the CDC (zero hour)

Within 12 hours, SNS arrives in the state

In 12-24 hours, SNS is distributed to hospitals, counties, the military and prisons

In 24-36 hours, goal is to have Pills in People

56Thank You!

Robert J. Bertollo, M.I.C.P., L.R.C.P., M.B.A.

Associate Director,

Center for Health Care Preparedness

95 Old Short Hills Road

West Orange, NJ 07979

973-322-4581

rbertollo_at_sbhcs.com

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